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Michelle Brenes, PA

Physician Assistant in Hartford, CT. Individual provider (NPI-1).

NPI number1124090956
StatusActive
Last updated in NPPESNov 3, 2016

Details

NPI
1124090956
Entity type
Individual (NPI-1)
Name
Michelle Brenes
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2006
Last updated
Nov 3, 2016

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant001408CTYes

Practice location

21 Grand St
Hartford, CT 06106-1541

Phone 860-550-7500 · Fax 860-550-7515

Mailing address

282 Washington St
Hartford, CT 06106-3322

Phone 860-545-9200 · Fax 860-545-9134

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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